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<br />81 :1-780-0020
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<br />City of Zephyrhills Permit Application
<br />Building Department
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<br />Fax-813-780-0021
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<br />Owner's Name
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<br />Owner Phone Number
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<br />Owner Phone Number I
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<br />Owner Phone Number I
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<br />Date Received
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<br />Owner's Address
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<br />Fee Simple Titleholder Namel
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<br />:5 '330
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<br />BANk 0 f
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<br />51 l?et: I
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<br />Fee Simple Titleholder Address I ~Alut: lh i'rti ltv t ( fl
<br />JOB ADDRESS 5'3'30 (61 ':iT {o2fC
<br />SUBDIVISION I
<br />WORK PROPOSED Er NEW CONSTR El
<br /> INSTALL
<br />PROPOS Ell USE IJ2:I SFR D
<br />TYPE OF CONSTRUCTION D BLOCK D
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<br />ADD/ALT
<br />REPAIR
<br />COMM
<br />FRAME
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<br />PARCELID#I !l'~" 1-{-oOlO ~ /7UJO -OICj()
<br />(OBTAINED FROM PROPERTY TAX NOTICE)
<br />D SIGN D MOVE D
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<br />D
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<br />LOT #
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<br />DEMOLISH
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<br />OTHER
<br />STEEL
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<br />OTHER I (UOiJO
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<br />DESCRIPTION OF WORK inJ(, f)tZD ;e{t..( L-IIUL - .
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<br />BUILDING SIZE SQ FOOTAGE I HEIGHT
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<br />D ELECTRICAL
<br />D PLUMBING
<br />D MECHANICAL
<br />D GAS
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<br />1$ SOD I
<br />1$ I
<br />1$ I
<br />1$ I
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<br />D ROOFING D SPECIALTY D OTHER
<br />FINISHED FLOOR ELEVATIONS I I FLOOD ZONE AREA DYES DNO
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<br />:~~~~~RE I~ ,-f.~ ~~~:R: ~tl~~ ~~~"' YIN I
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<br />Address~ License # I
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<br />ELECTRICIAN I COMPANY I
<br />SIGNATUR.E REGISTERED Y I N FEE CURRENT Y I N
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<br />Address I License # I
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<br />PLUMBER I COMPANY I
<br />SIGNATUR.E . REGISTERED Y I N FEE CURRENT Y I N
<br />
<br />Address I License # I
<br />
<br />MECHANICAL I COMPANY I
<br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N
<br />
<br />Address I License # I
<br />
<br />OTHER I COMPANY I
<br />SIGNATURE . REGISTERED Y I N FEE CURRENT Y I N
<br />
<br />Address I I License # I I
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<br />RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R-O-W Permit for new construction,
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions/large projects
<br />Attach (3) sets of Building Plans; (1) set of Energy Forms. R-O-W Permit for new construction.
<br />Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed,
<br />Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance
<br />Attach (2) sets of Engineered Plans.
<br />....PROPERTY SURVEY required for all NEW construction.
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<br />AMP SERVICE
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<br />D
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<br />PROGRESS ENERGY
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<br />D
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<br />W.R.E.C.
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<br />BUILDING
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<br />VALUATION OF TOTAL CONSTRUCTION
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<br />VALUATION OF MECHANICAL INSTALLATION
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<br />COMMERCIAL
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<br />SIGN PERMIT
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<br />Di~~~ti~~~'::' . , , , , . , , , , . . . , , . . . , , . , , , , . . , , , , , . , , , , , . . . . , . , , , , . , , , , , . . . , , , . . , , , , , , . . , , , . . , , , . . . , , , , , , , , , . , , . , , , , , , , , , , , , . . . . . , , , , . . , , . . , . . . . . . . . . . , .
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<br />Fill out application completely.
<br />Owner & Contractor sign back of application, notarized
<br />If ovel' $2500. a Notice of Commencement is required. (A1C upgrades over $5000)
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<br />Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same
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<br />OVER THE COUNTER PERMITTING (Front of Application Only)
<br />Reroofs Sewers Service Upgrades AlC Fences (Plot/Survey/Footage)
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<br />Driveways-Not over Counter if on public roadways..needs ROW
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